Provider Demographics
NPI:1437463205
Name:NG, ALEXANDER C (RPH)
Entity Type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:C
Last Name:NG
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2202 ARENDELL ST
Mailing Address - Street 2:
Mailing Address - City:MOREHEAD CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28557-3922
Mailing Address - Country:US
Mailing Address - Phone:252-222-3643
Mailing Address - Fax:252-222-3982
Practice Address - Street 1:2202 ARENDELL ST
Practice Address - Street 2:
Practice Address - City:MOREHEAD CITY
Practice Address - State:NC
Practice Address - Zip Code:28557-3922
Practice Address - Country:US
Practice Address - Phone:252-222-3643
Practice Address - Fax:252-222-3982
Is Sole Proprietor?:No
Enumeration Date:2010-08-03
Last Update Date:2010-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8458183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist